공간발달하는 난류열유동경계층 수치모사의 입구경계조건 생성을 위한 온도확장형 합성와류생성기법

오근우(Geunwoo Oh),노경민(Kyung Min Noh),최정일(Jung-Il Choi) 대한기계학회 2018 대한기계학회 춘추학술대회 Vol.2018 No.4

슬관절 후외측 불안정성의 재건술

빈성일(Seong-Il Bin),노경민(Kyung-Min Noh),김석중(Seok-Jung Kim),박수성(Soo-Sung Park),김지철(Ji-Chul Kim),김성문(Sung-Moon Kim),한영길(Young Kil Han) 대한정형외과학회 1999 대한정형외과학회지 Vol.34 No.4

자가 슬개전 채취부위를 통한 전방십자인대 재건술

조우신(Woo-Shin Cho),노경민(Kyung-Min Noh),조용선(Yong-Sun Cho),이호승(Ho-Seuong Lee),김정환(Chung-Hwan Kim),이회진(Hoi-Jin Lee) 대한정형외과학회 1998 대한정형외과학회지 Vol.33 No.7

강선 고정을 위해 고안된 내고정 금속판

조우신(Woo-Shin Cho),윤준오(Joon-O Yoon),이수호(Soo-Ho Lee),노경민(Kyung-Min Noh),전용갑(Yong-Gab Jeong) 대한정형외과학회 1998 대한정형외과학회지 Vol.33 No.5

전방 십자인대 손상 유무에 따른 슬관절 퇴행성 관절염의 Bone SPECT, 단순 방사선 및 수술 소견

조우신(Woo-Shin Cho),양승오(Seong-O Yang),이호승(Ho-Seuong Lee),노경민(Kyung-Min Noh),최준원(Jun-Weon Choi),김기용(Key-Yong Kim) 대한정형외과학회 1998 대한정형외과학회지 Vol.33 No.5

임부의 연령에 따른 보완대체요법에 관한 인식 태도 경험 비교 연구

김연진,김지연,노경민,신혜리,유예지,이지민,장희조,정아인,최소정,강숙정,이향연,민혜영 이화여자대학교 간호과학대학 2016 이화간호학회지 Vol.- No.50

Purpose: This study aims to test if the age of pregnant women affects the perception, experience, and attitude towards complementary alternative therapy (CAT), by investigating the perception, experience, and attitude of pregnant women under the age of 35, and above 35 (Advanced Maternal Age). The study will 1) find the general characteristics of pregnant women under and over the age of 35 2) compare the perception, behavior, and experience of pregnant women under and over the age of 35, and 3) find the comparison of the perception, behavior, and experience according to the general characteristics of pregnant women under and over the age of 35. Method: The subjects of this study are composed of 44 women under the age of 35 and 44 women above the age of 35, totaling 88 pregnant women visiting midwiferies, obstetrics and gynecology, and baby fairs in Seoul and Gyeong-Gi area. Data for this study was collected from November 28, 2015 to January 6, 2016 for 40 days. The collected data analyzed mean, standard deviation, t test, ANOVA, and chi-square by using SPSS 23.0. Result Results show that there is a significant difference in the perception, attitude, and experience of the two-sample groups in the use of CAT. The question of “what is most necessary when applying CAT in a hospital clinical environment” for the perception criteria came out with the results of t=9.980, p<.05. For the attitude, results showed that the answers of pregnant women under the age of 35 displayed a more positive attitude towards CAT. (t=2.421, p<.05) Lastly, in the experience section, pregnant women under the age of 35 showed more CAT use than the other sample group. Conclusion Results have shown that there is a difference in the perception, behavior, and experience between the two sample groups. Therefore further research on the efficacy and the adverse effects of CAT needs to be done.

척추분리중에서 협부 결손의 직접적 복원술

김영태,이춘성,노경민,손현철 대한척추외과학회 2000 대한척추외과학회지 Vol.7 No.3

연구 목적 : 보존적 치료에 반응하지 않은 척추분리증 환자의 치료로서 Buck에 의해 기술되었던 나사못 고정술과 골이식술의 임상적 및 방사선학적 결과를 분석하고자 하였다. 대상 및 방법 : 1992년 3월부터 1999년 3월까지 척추분리증에 대해 buck 술식으로 수술 받은 평균연령 23세의 환자 12례를 대상으로 하였다. 수술의 적응증은 1) 30세이하, 2) 하지 방사통을 동반하지 않는 심한 요통이 6개월 이상의 보존적 요법에 반응하지 않고, 3) 자기공명영상검사에서 추간판의 퇴행성 변화가 관찰되지 않으며, 4) 요추부 측면 굴곡-신전 방사선 검사상 불안정성이 없는 경우로 하였다. 추시기간은 12개월에서 4년 6개월까지 평균 2년 1개월이었다. 술 전,술 후 및 최종 추시시에 시행한 방사선 검사와 술 후 단일광자방출단층촬영(bone SPECT)에서 골유합 여부, 나사의이완 및 파괴 여부를 확인하였고, 임상적으로는 Henderson의 주관적 평가방법에 따라 요통의 호전 여부를 평가하였다. 결과 : 방사선학적 유합으 소견은 척추 후궁 협부의 육주화(trabeculation)를 기준으로 하였으며 8례에서는 골유합, 2례에서는 편측만 골유합, 나머지 2례에서는 불유합의 소견을 보였다. 단일광자방출단층촬영은 7례에서 시행되었으며, 이 중 5례에서 술 후 협부의 연속성을 보여 골유합을 확인할 수 있었다. 골유합까지의 기간은 평균 3.1개월(2.5-6.2개월)이었다. 최종 추시시까지 나사의 이완은 없었으나, 1례에서 술 후 7개월에 양측 나사의 파괴 및 불유합 소견을 보였다. Henderson의 평가방법에 따른 임상적 결과는 우수 5례, 양호 5례로 총 10례(83.3%)에서 양호 이상의 결과를 보였다. 결론 : 척추분리증의 치료 방법중의 하나인 Buck 술식은 수술방법이 간단하고 합병증이 적어 환자의 만족도도 높은 것으로 생각되어지며, 젊은 환자 연령층에서 선택적으로 사용하면 만족할 만한 결과를 얻을 수 있으리라 생각된다. Study Design : This is a retrospective study analysing the results of Buck's operation for spondylolysis. Purpose : To analyze the results of Buck's methods as a treatment for symptomatic sopndylolysis clinically and radiographically. Materials and Methods : Between March 1992 and March 1999, 12 paitients with with symptomatic spondylolysis were treated with Buck's method. Surgical indication was 1)under 30 years of age, 2)patients with intractable low back pain without sciatica who did not response to conservative treatment for over 6 months, 3)without disc degeneration in lumbar MRI, 4)without instability in lateral fexion-extension view. The average age was 23 years and the follow up periods ranged from 12months to 54 months, months. We confirmed union of edfect and loosenin or breakage of screws in preoperative, postoperative and the final radiographs, and in bone SPECT. And we analyzed symptomatic improvement by subjective assessment guidelines of Henderson clinically. Results : Rediologically. union of defect by trabeculation was seen in 8 patients, in 2 patients unilaterally. In bone SPECT, union of defect was seen in 5cases among 7 cases postoperatively. Average periods of union were 3.1 months(2.5-6.2months) cally, 10 patients(83.3%) were rated as excellent or good-5 patients excellent, 5patients good-accordin to subjective assessment guidelines of Henderson. Conclusion : It is suggested that Buck's operation, one of the nethod of treatment of spondylolysis is simple and has low complication rate. We concluded that it is satisfactory to use Buck's operation in young aptients with symptomatic spondylolysis.

경골 근위부골절의 폐쇄성 골수강내 금속정을 이용한 치료 : blocking pin을 이용한 새로운 술기 Technical Tricks

김영태,김정재,김기용,노경민,조우신 대한골절학회 1998 대한골절학회지 Vol.11 No.2

Introduction: Recently, intramedullary nailing is the treatment of choice in the management of fractures in the tibial diaphysis. But fractures of the proximal third of the tibial shaft including segmental fractures do not appear to respond as favorably to intramedullary nailing as do fractures in the distal 2/3 of the tibia. One of the most frequent complications of intramedullary nailing of proximal third tibia is fracture malalignment leading to anterior angulation, anterior displacement or valgus angulation. There are several factors combine to make these fractures difficult to reduce when nailing. l) The pull of the patellar tendon and muscles around the proximal tibia on the short proximal fracture fragment. 2) The traditional medial entrance point of nailing in the proximal tibia. The author's objective is to introduce a new technique to neutralize these factors so that intramedullary nailing can be consistently used to treat poximal third tibia fractures. Materials and Methods: Five of proximal third tibial shaft including one segmental fracture were treated with a new technique for intramedullary nailing of these fractures. The clinical summary was as belows. 1) Inserted two 0.125inch Steinmann pins at the proximal tibial fragment, which authors called as 'blocking pin'. These pins were crossed with 10-15° angle at midpoint of the proximal tibia anteroposteriorly and mediolaterally. 3) Made the entrance hole using awl which was introduced just anterior to the cross point of two blocking pins. 4) The AO unreamed tibial nail was inserted anterior to two blocking pins. After then, continued the nail insertion with closed technique. 5) Performed proximal(3 screws) and distal(2 or 3 screws) locking. 6) Removed two blocking pins finally. Outcomes were evaluated immediately postoperatively and at follow-up visit by measurement of alignment in both the anteroposterior and lateral planes. All patient were evaluated clinically also. Results: The average anterior angulation and anterior displacement immediately postoperatively were 3.0°(range 1° to 5°) and 2.8mm (range 1mm to 4mm) respectively. The average coronal plane alignement was 3.2° valgus(range 2° to 4° valgus). There was no complication from the use of this technique either intraoperatively or postoperatively. Fracture alignment at the time of last follow-up was unchanged from immediate postoperative measurements. All 5 cases healed clinically and radiologically. In 3 cases, bone graft was performed at postoperative 6 weeks due to delayed union. The average time to radiologic healing was 21weeks(17-26 weeks). Conclusion: Intramedullary nailing of proximal third tibial fractures including segmental fractures is technically demending and has a problem of the high rate of malalignments. However, through a new technique above mentioned which neutralize deforming factors, reliable alignments and healing were achieved successfully in proximal third tibial fractures. The authors introduce and recommend a new technique in intramedullary nailing to treat the fractures of the proximal third of the tibial shaft(esp, segmental fractures).